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About the User’s Manual
The User’s Manual serves for operating this instrument only. Our company shall not be responsible
for any consequences and liabilities caused by using this user’s manual for other purposes.
The User’s Manual containing special information is under copyright protection. All rights reserved.
Copy, duplication or translation of the whole or any part of the User’s Manual is prohibited in case of no
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Based on the need of product technical improvement or the file updates, we reserve the right to
modify the contents contained in this manual , if the change do not involve safety issues, the contents
are subject to amend without notification
Due to technical upgrade or special requirements from users and with the precondition that the
performance of the instrument will not be lowered, some components may vary from the description of
configuration in the User’s Manual.
Version：1.0 2011---08
All rights reserved © Shenzhen Biocare Electronics Co., Ltd
The CE mark is a protected conformity mark of European Community.
The products herewith comply with the requirements of the Medical
Device Directive 93/42/EEC
Shanghai International Holding Corp. GmbH(Europe)
Eiffestraϐe 80
20537 Hamburg
GERMANY
Shenzhen Biocare Electronics Co.,Ltd.
2nd.Floor, Baili Park, No.636 Baotian 1st Road Tiegang, Baoan, Shenzhen, China
Tel: 86-755-27960641 Fax: 86-755-27960643
Website: http://www.biocare.com.cn
CONTENTS
CONTENTS
CHAPTER 1 OVERVIEW ............................................................................................................................................. 1 1.1 1.2 1.3 1.4 1.5 1.6 1.7 1.8 1.9 1.10 1.11 1.12 1.13 1.14 1.15 1.16 OVERVIEW ............................................................................................................................................................. 1 SAFETY INFORMATION .............................................................................................................................................. 1 DEVICE LABEL......................................................................................................................................................... 4 INTENDED USAGE .................................................................................................................................................... 4 SCREEN LAYOUTS INTRODUCTION................................................................................................................................ 5 ALARM ................................................................................................................................................................. 7 CONTROL PANEL...................................................................................................................................................... 7 MENU .................................................................................................................................................................. 7 SENSOR SOCKET .................................................................................................................................................... 14 EXTERNAL INTERFACE ............................................................................................................................................. 14 NETWORKS .......................................................................................................................................................... 15 RECHARGEABLE BUILT‐IN BATTERY ............................................................................................................................. 15 INSTALLATION ....................................................................................................................................................... 16 POWER ON THE MONITOR ...................................................................................................................................... 16 CONNECT SENSORS ............................................................................................................................................... 16 CHECK THE RECORDER............................................................................................................................................ 17 CHAPTER 2 ALARMS............................................................................................................................................... 18 2.1 2.2 2.3 2.4 2.5 2.6 2.7 ALARMS OVERVIEW ............................................................................................................................................... 18 ALARMS PAUSING .................................................................................................................................................. 19 ALARMS SILENCE ................................................................................................................................................ 19 ALARM SETTING ................................................................................................................................................... 19 LIMITS OF THE ALARMS........................................................................................................................................... 20 PHYSIOLOGY ALARM INFORMATION ........................................................................................................................... 23 TECHNICAL ALARM INFORMATION............................................................................................................................. 25 CHAPTER 3 RECORD ............................................................................................................................................... 29 3.1 3.2 3.3 RECORD SETTING................................................................................................................................................... 29 RECORD TYPE ....................................................................................................................................................... 29 RECORD CONTENT ................................................................................................................................................. 30 CHAPTER 4 ADMIT/DISCHARGE ANIMAL ................................................................................................................ 31 4.1 4.2 ADMIT VETERINARY ............................................................................................................................................... 31 DISCHARGE ANIMAL............................................................................................................................................... 31 CHAPTER 5 ECG MONITORING................................................................................................................................ 33 5.1 5.2 5.3 5.4 CONNECTING ECG ELECTRODES ............................................................................................................................... 33 ECG ELECTRODE PLACEMENT .................................................................................................................................. 33 CONNECTING ECG LEADS RECOMMENDED FOR SURGERY............................................................................................... 34 ECG SETTING ....................................................................................................................................................... 35 CHAPTER 6 RESP MONITORING .............................................................................................................................. 37 6.1 6.2 6.3 PRINCIPLES OF RESPIRATION MEASUREMENT............................................................................................................... 37 PLACING THE ELECTRODES ....................................................................................................................................... 37 RESP SETTINGS ..................................................................................................................................................... 37 CHAPTER 7 SPO₂ MONITORING.............................................................................................................................. 39 7.1 7.2 7.3 MONITORING PROCEDURE ...................................................................................................................................... 39 MEASUREMENT RESTRICTIONS ................................................................................................................................. 40 SPO₂ SETTING ...................................................................................................................................................... 41 CHAPTER 8 NIBP MONITORING .............................................................................................................................. 43 8.1 8.2 NIBP MEASUREMENT PROCEDURE............................................................................................................................ 43 NIBP MEASUREMENT LIMITS ................................................................................................................................... 44 Veterinary Monitor User’s Manual
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CONTENTS
8.3 8.4 8.5 NIBP SETTINGS .................................................................................................................................................... 45 BLOOD PRESSURE CALIBRATIONS............................................................................................................................... 45 LEAKAGE EXAMINATION .......................................................................................................................................... 46 CHAPTER 9 TEMPERATURE MONITORING............................................................................................................... 48 9.1 9.2 STEPS OF TEMPERATURE MEASUREMENT .................................................................................................................... 48 TEMPERATURES SETTINGS MENU .............................................................................................................................. 48 CHAPTER 10 HISTORY REVIEW................................................................................................................................ 49 10.1 10.2 10.3 10.4 10.5 TREND GRAPH ...................................................................................................................................................... 49 TREND TABLE ........................................................................................................................................................ 51 ALARM REVIEW .................................................................................................................................................... 52 NIBP REVIEW ...................................................................................................................................................... 54 WAVE REVIEW ...................................................................................................................................................... 55 CHAPTER 11 DRUG CALCULATION .......................................................................................................................... 57 11.1 11.2 11.3 DRUG CALCULATION .............................................................................................................................................. 57 OPERATING PROCEDURES ........................................................................................................................................ 58 TITRATION TABLE ................................................................................................................................................... 58 CHAPTER 12 MAINTENANCE AND CLEANING .......................................................................................................... 60 12.1 SYSTEM CHECK ..................................................................................................................................................... 60 12.2 GENERAL CLEANING .............................................................................................................................................. 60 CLEANING AGENTS............................................................................................................................................................. 61 STERILIZATION ................................................................................................................................................................... 62 DISINFECTION ................................................................................................................................................................... 62 APPENDIX A PRODUCT SPECIFICATIONS ................................................................................................................. 63 12.3 12.4 12.5 12.6 12.7 12.8 12.9 12.10 12.11 12.12 12.13 12.14 CLASSIFICATION .................................................................................................................................................... 63 POWER SUPPLY ..................................................................................................................................................... 63 BATTERY .............................................................................................................................................................. 63 SIGNAL INTERFACE................................................................................................................................................. 63 STORAGE ............................................................................................................................................................. 63 ENVIRONMENT ..................................................................................................................................................... 64 ECG................................................................................................................................................................... 64 RESPIRATION .................................................................................................................................................... 65 NIBP ............................................................................................................................................................. 66 SPO₂ ............................................................................................................................................................. 66 TEMPERATURE .................................................................................................................................................. 67 RECORDER(OPTIONAL) ....................................................................................................................................... 67 APPENDIX B EMC ‐ GUIDANCE AND MANUFACTURE’S DECLARATION...................................................................... 68 II
Veterinary Monitor User’s Manual
Chapter1 Overview
Chapter 1 Overview
1.1 Overview
This monitor is suitable for felines, canines and other animals, may monitor the physical
parameters, such as electrocardiograph (ECG), noninvasive blood pressure (NIBP), oxygen
saturation (SpO₂), respiration rate (Resp), body temperature (Temp) and so on, can display
maximum 8 waveforms and all information of the parameters monitored in the same screen.
Below shows the monitoring functions of this monitor:
1) electrocardiograph (ECG), including: heart rate, 6 channels ECG waveforms, ST segment
analysis, arrhythmia analysis;
2) oxygen saturation (SpO₂), including: oxygen saturation, pulse rate, pulse wave;
3) noninvasive blood pressure (NIBP), including: Systolic pressure, diastolic pressure, mean
pressure;
4) body temperature (Temp): 2 channels body temperature data;
5) respiration (Resp): Breath rate, breath waveform;
1.2 Safety information
NOTE
Points to be noted.
CAUTION
Points to be noted to avoid damage to the equipment.
WARNING
Points to be noted to avoid injury to the Veterinary and the operator.
Warning
z Do not rely only on audible alarm system to monitor animals. When monitoring adjusting the volume
to very low or completely muting the sound may result in the disaster to the animals. The most reliable
way of monitoring the animals is at the same time of using monitoring equipment correctly, manual
monitoring should be carried out.
z This multi-parameter Veterinary monitor is intended for use only by medical professionals in health
care institutions.
z To avoid electrical shock, you shall not open any cover by yourself. Service must be carried out by
qualified personnel.
z Use of this device may affect ultrasonic imaging system in the presence of the interfering signal on the
screen of ultrasonic imaging system. Keep the distance between the monitor and the ultrasonic imaging
system as far as possible.
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z It is dangerous to expose electrical contact or applicant coupler to normal saline, other liquid or
conductive adhesive. Electrical contact and coupler such as cable connector, power supply and
parameter module socket-inlet and frame must be kept clean and dry. Once being polluted by liquid,
they must be thoroughly dried. If to further remove the pollution, please contact your biomedical
department or Factory.
Warning
Monitor can only monitoring one animal at a time.
Warning
There could be hazard of electrical shock by opening the monitor casing. All servicing and future
upgrading to this equipment must be carried out by personnel trained and authorized by Factory.
Warning
You must verify if the device and accessories can function safely and normally before use.
Warning
Possible explosion hazard if used in the presence of flammable anesthetics or other flammable substance in
combination with air, oxygen-enriched environments, or nitrous oxide.
Warning
You must customize the alarm setups according to individual animal situation and make sure that alarm
sound can be activated when alarm occurs.
Warning
Do not touch the animal, table, or the device during defibrillation.
Warning
Do not use cellular phone in the vicinity of this device. High level electromagnetic radiation emitted from
such devices may greatly affect the monitor performance.
Warning
Devices connected to the monitor shall form an equipotential system (protectively earthed).
Connect the grounding wire to the equipotential grounding terminal on the main system. If it is not
evident from the instrument specifications whether a particular instrument ombination is hazardous
or not, for example due to summation of leakage currents, the user should consult the manufacturers
concerned or else an expert in the field, to ensure that the necessary safety of all instruments
concerned will not be impaired by the proposed combination.
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Chapter1 Overview
Warning
When used with Electro-surgery equipment, you (doctor or nurse) must give top priority to the animal
safety.
Warning
Do not place the monitor or external power supply in any position that might cause it to fall on the animal.
Do not lift the monitor by the power supply cord or cable, use only the handle on the monitor.
Warning
Consult IEC-601-1-1 for system interconnection guidance. The specific requirements for system
interconnection are dependent upon the device connected to the monitor and the relative locations of each
device from the animal, and the relative location of the connected device to the medically used room
containing the monitor. In all circumstance the monitor must be connected to a grounded AC power supply.
The monitor is referred to as an IEC 601/F device in the summary of situations table contained in IEC
601-1-1.
Warning
Dispose of the packaging material, observing the applicable waste control regulations and keeping it out of
children’s reach.
Warning
Grounding:
Connect the monitor only to a three-wire, grounded, hospital-grade receptacle. The three-conductor plug
must be inserted into a properly wired three-wire receptacle; if a three-wire receptacle is not available, a
qualified electrician must install one in accordance with the governing electrical code.
Do not under any circumstances remove the grounding conductor from the power plug.
Do not use extension cords or adapters of any type. The power cord and plug must be intact and
undamaged.
If there is any doubt about the integrity of the protective earth conductor arrangement, operate the monitor
on internal battery power until the AC power supply protective conductor is fully functional.
Warning
For continued safe use of this equipment, it is necessary that the listed instructions be followed. However,
instructions listed in this manual in no way supersede established medical practices concerning animal
care.
Warning
It is important for the hospital or organization that employs this equipment to carry out a reasonable
maintenance schedule. Neglect of this may result in machine breakdown or injury of human health.
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Chapter1 Overview
Caution
If you have any doubt to the grounding layout and its performance, you must use the built-in battery to
power the monitor.
1.3 Device Label
This symbol means ”BE CAREFUL“. Refer to the manual.
This symbol indicates that the instrument is IEC 60601-1 Type CF
applied part. The unit displaying this symbol contains an F-Type isolated
(floating) applied part providing a high degree of protection against
shock, and is suitable for use during defibrillation.
Equipotential grounding system.
Protective earth ground.
Power On/Off
AC power
This symbol indicates that the instrument is IEC 60601-1 Type BF
applied part.
1.4 Intended Usage
The monitor is intended to be used for monitoring, recording, and alarming of multiple
physiological parameters of animal in health care facilities. The devices are to be used in health care
facilities by trained health care professionals. They are not intended for home use. This device is
restricted to be used by or on the order of a physician. Not a therapeutic device.
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Chapter1 Overview
1.5 Screen layouts introduction
The screen is divided into four sections: 1st information section; 2nd waveform section; 3rd
parameters section; 4th menu section (as chart 1-1 shows).
Chart 1-1 monitor demo interface
1.5.1 Information section
The information section is on top of the screen, displays current conditions of monitor and animal.
The information in turn from left to right on the top is “Animal information”, “technical alarm
information”, “physiological alarm information”, “date and time” , “network state” and “battery
state”.
1) Animal information:
Bed number (refers to the hospital bed number of animal monitored);
Type of animal (“>20kg”, “10~20kg” or “<10kg”);
Name of animal (if operator doesn’t input animal name, this position will displays “NO
NAME”);
2) Technical alarm information: Reporting current condition of monitor or sensors, this section
will display alarm information;
3) Physiological alarm information: If animal 's physiological parameters exceed the alarm limit,
this section will display alarm information;
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Chapter1 Overview
4) Date and time: Updating current date and time every second;
5) Network connection state;
6) Battery state: current battery capacity or its condition.
1.5.2 Parameters section
Heart rate: heart rate (unit: beats per minute bpm)
ST: ST segment (unit: millivolt mV)
PVCs: times of premature ventricular constriction (unit: times/minute)
NIBP: From right to left is: systolic pressure, diastolic pressure, mean pressure (unit: millimeter
mercury column- mmHg or kilopascal- kPa)
SpO₂: oxygen saturation SpO₂ (unit: %), Pulse rate (unit: pulses /minute)
Respiration rate: respiration rate (unit: Breaths/Minute BrPM)
Temperature: body temperature (unit: centigrade -℃ or Fahrenheit- ℉)
The user may change the settings of above monitored parameters which will be introduced in
later chapters in detail.
1.5.3 Waveform section
The waveform section displays 7 waveforms in standard screen layout, which from top to bottom
respectively are: ECG1 waveform, ECG2 waveform, pulse wave, respiration waveform,. Total 8
waveforms can be displayed if in “ECG Full Lead” screen layout.
The name appears in upper left side of each waveform. The ECG waveform gain and filter mode
will be also displayed besides the ECG wave name. On the right side of the ECG waveform stands a
mark with the unit of 1 mV. The gain of breathing waveform is displayed on the right side of the
name of breathing wave..
When user push the keys of monitor, a window may pop-up in the waveform section. The
waveform section will restore demo after the window is retreated.
1.5.4 Menu section
On the bottom of the screen there are 5 menu item: “Animal”, “Review”, “Setting”, “Alarm
Limit” and “Service”. When no window displays on the screen, the user may visit these menus by
rotating the knobs. When the cursor chooses anyone of the items, sublevel menus will popup. When
the user presses down the knob once again, the corresponding dialog will pop-up and the user can
change the settings in the dialog.
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1.6 Alarm
When the alarm occurs, the warning light will glitter or bright, the color represents certain level
of the alarm. The detailed contents please refer to chapter2 “Alarm”.
1.7 Control panel
The control panel is on the front panel. The total keys from left to right are listed below:
1) Power key: key to turning on and turning off of the power;
2) Alarm silence key: With this key pressed down, sound of the alarm will shut down, also the
“ALARM SILENCE” will be displayed in the information section, and other sounds (key sound,
palpitation sound and so on) will not be affected. Pressing down the key again will restore all the
alarms.
3) Alarm pausing key: With this key pressed down, the alarm may hang up for 2 minutes (“1
minute”, “2 minutes” and “3 minutes” are optional), and the “ALARM PAUSE” will be displayed
in the information section. All the alarm will be restored after this key is pressed again.
4) Freezing key: In the normal mode, all the waveforms on the screen will be frozen with this key
pressed down. Pressing down this key once again will release the frozen waveforms;
5) Blood pressure key: Pressing down this key will start to charge the cuff with gas, and to
measure the blood pressure. Pressing down the key once again can cancel the measurement;
6) Record/Stop key: If the monitor has a recorder, pressing down this key will start recording the
real-time waveforms. Pressing the key again may stop recording;
7) Main menu key: press this key to returning to the main menu;
8) Knob key: With this key, the user may enter the menus and windows and change the monitor
settings.
1.8 Menu
1.8.1 animal management
By pushing the “Animal” button, the user may choose to enter the window of “Admit new
Animal”, “Discharge Current Animal” or “Dose Calculation” the detailed introductions may refer to
chapter4 “Admit and Discharge Veterinary”.
Chart 1-3 Animal management
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Chapter1 Overview
1.8.2 History review
By selecting the “Review” button, the user may choose to enter the window of “Trend Graph”,
“Trend Table”, “Alarm Review”,“NIBP review” or “Wave review”. The detailed introductions may
refer to chapter12 “History Review”.
Chart 1-4 history review
1.8.3 Setting
By selecting the “Setting” button, the user may choose to enter the window of “Alarm setting”,
“Record setting”, “Screen layout”, “Adjust time”, “Miscellaneous”, “ECG setting”, “ST setting”,
“SpO₂ setting”, “NIBP setting”, “Resp setting”, “Temp setting” , or “Load Default “.
Chart 1-5 setting
1.8.3.1 Alarm setting
Detailed introductions can refer to Chapter2 “Alarm”.
1.8.3.2 Recording setting
Detailed introductions can refer to Chapter3 “Recording”.
1.8.3.3 Screens layout
After entering the screen layouts window, the user may change the current display interface by
selecting the interfaces of 6 types of “Standard”, “ECG Full Lead”, “Big Font”, “OxyCRG”, “NIBP
Trend”, “Trend Table”, and choose to turn on or turn off parameter or waveform in the “parameter
switch” and “waveform switch”.
The user can change trend resolution from “1 min” to “60 min” by setting “Trend Time” if the
screen layout is set to “Trend Table”.
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The following chart shows the menu of screen layouts:
Chart 1-6 screen layouts
1.8.3.4 Screen layout
Big font
Standard
ECG Full Lead
OxyCRG
Trend table
NIBP trrend
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Chapter1 Overview
1.8.3.5 Adjust Time
By entering the adjust time window, the user may choose the date format and adjust the current
date and time, as the following chart shows:
Chart 1-7 adjust time
1.8.3.6 Miscellaneous
By entering the miscellaneous windows, the user may change the key volume and the screen
brightness. The adjusting scope of key volume is 0~10 (0 means volume closure); The adjusting
scope of screen brightness is 1~10 (10 means the highest brightness). If “Wave Smooth” switch is
“On”, the wave will be displayed as smooth mode.
Chart 1-8 miscellaneous setting
1.8.3.7 ECG setting
Detailed introductions of ECG settings can refer to Chapter5 “ECG monitoring”.
1.8.3.8 ST setting
Detailed introductions of ST settings can refer to Chapter6 “ST monitoring”.
1.8.3.9 Resp setting
Detailed introductions of RESP settings can refer to Chapter8 “RESP monitoring”.
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1.8.3.10 SpO₂ setting
Detailed introductions of oxygen saturation settings can refer to Chapter9 “SpO₂ monitoring”.
1.8.3.11 NIBP setting
Detailed introductions of noninvasive blood pressure settings can refer to Chapter10 “NIBP
monitoring”.
1.8.3.12 Temperature setting
Detailed introductions of body temperature settings can refer to chapter11 “temperature
monitoring”.
1.8.3.13 Load default setting
The following chart shows the window of Apply default settings:
Chart 1-9 Load default settings
If “Yes” is chosen, then the current settings will be replaced with default settings
1.8.4 Alarm limit
By selecting the “limits of alarm” button, the user may choose to enter the windows of “ECG
Alarm Limit”, “ SpO₂ Alarm Limit”, “NIBP Alarm Limit”, “Resp Alarm Limit”, “Temp Alarm
Limit”, or “Load default Alarm Limit”, the detailed introductions refer to chapter2 “alarms”.
Chart 1-10 Alarm Limit
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Chapter1 Overview
1.8.5 Maintenance
By selecting the “Service” button, the user may choose to enter the windows of “ECG
calibration”, “ Temp Sensor Type”, “NIBP Pneumatic Test”, “NIBP calibration”, “NIBP Reset”,
“Demo mode”, “Version info”, “User setting”, “Factory Service” and so on.
Chart 1-11 Service
1.8.5.1 ECG calibration
Entering the ECG calibration window, the user may turning on or turning off of the ECG
calibration signal, as the following chart shows:
Chart 1-12 ECG calibration
1.8.5.2 Temp Sensor Type
Entering the Temp Sensor Type window, the user may initialize the type of body temperature
sensor: 10K or 2.25K, as the following chart shows:
Chart 1-13 Temp Sensor Type
1.8.5.3 NIBP Pneumatic test
Selecting the “NIBP Pneumatic test”, the user may examine whether the entire air way of blood
pressure measurement leaks air or not.
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Chapter1 Overview
When the blood pressure cuff is connected, the user may start the air leakage test with this key,
thus discover whether the airtight condition of gas route is good or not. The examination result is:
If air leakage examination is passed, the system will not make any prompt;
If isn’t, the corresponding failure prompts will be displayed in the noninvasive blood pressure
information section.
The detailed introductions refer to 10.5 the air leakage examination.
1.8.5.4 NIBP calibration
After selecting the noninvasive blood pressure calibration, the user enters the calibration mode,
and at this time the user may calibrate, using a pressure gauge (or mercury sphygmomanometer)
with a calibration precision higher than 1 mmHg after calibrated. If the “measure blood pressure”
key is presses down during the calibration, the system will stop calibrating. The detailed
introductions refer to 10.4 the blood pressure calibrations.
1.8.5.5 NIBP reset
After choosing the noninvasive blood pressure reset, the user may restore the blood pressure
module to the initial settings.
When the blood pressure measurement is abnormal, yet the monitor cannot prompt reasons of the
problem, using this key is suggested. Because this causes the blood pressure module to reset, the
blood pressure module may commit self-recovery when the abnormity of work is caused by
accidental reasons.
1.8.5.6 Demo mode
The user input the correct password, the monitor will enter demo mode, and in the centre of the
screen a big “DEMO” label will be shown. The demo mode is a particular state just for
demonstrating performance of the machine, helping user carry out trainings. In the actual clinical
use, this function is forbidden, because it can possibly cause the medical staffs to take demo
waveforms as the waveforms and parameters by mistake, to affect animal monitoring.
1.8.5.7 Version information
Choosing the “version information”, the user may look over the version information of the
software installed in the monitor.
1.8.5.8 User settings
The user may carry out user maintenance in the user settings menu, by inputting the password.
This item is merely open to the serviceman appointed by the factory.
1.8.5.9 Factory service
The user cannot implement functions of maintenance. This item is merely open to the serviceman
appointed by the factory.
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Chapter1 Overview
1.9 Sensor socket
Chart 1-14 sensor socket
The following shows sensor socket:
T1: temperature channel 1 sensor socket;
T2: temperature channel 2 sensor socket;
SpO₂: Oxygen saturation sensor socket;
NIBP: non-invasive blood pressure cuff socket;
ECG: ECG cable socket;
1.10 External interface
：This symbol means ”BE CAREFUL“. Refer to the manual.
VGA:
VGA output, can connect to VGA monitor;
NET:
RJ45 net socket;
:
14
Equipotential grounding system;
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Chapter1 Overview
Warning
Accessory equipment connected to the analog and digital interfaces must be certified according to the
respective IEC standards (e.g. IEC 60950 for data processing equipment and IEC 60601-1 for medical
equipment). Furthermore all configurations shall comply with the valid version of the system standard IEC
60601-1-1. Everybody who connects additional equipment to the signal input part or signal output part
configures a medical system, and is therefore responsible that the system complies with the requirements of
the valid version of the system standard IEC 60601-1-1. If in doubt, consult the technical service
department or your local representative.
1.11 Networks
The network port of the monitor is the standard RJ45 network interface, may communicate with
the central station through the ethernet cable, to achieve the function of remote monitoring. In the
top right corner of the screen there is a network icon representing current network status. If the
”; After the
network electric cable is disconnected, the network condition icon shows as “
monitor has established connection with the central station, the icon shows as “
”; If the monitor
communicates normally with the central monitoring system, the icon shows as “
”.
1.12 Rechargeable built-in battery
The monitor is equipped with a rechargeable built-in battery. In the top right corner of the screen
exists one symbol “
“, indicating the state of the battery capacity, of which the green part
denoting electric quantity of the battery. When the battery is charged, the charging condition is
expressed with animation. After the battery is full-charged, the symbol will show as “
this monitor has not been installed the built-in battery, the symbol shows as “
”. When
” indicating no
battery.
When running with power supply from battery, the monitor detects the volume of the battery, and
alarms when the battery is insufficient, and prompts in the information section: “BAT LOW”. At
this time, the AC power should be plug in, and immediately charge battery in time. If battery is still
used for power supply, the monitor will power off automatically when the battery exhausted.
Warning
If you have any doubt to the grounding layout and its performance, you must use the built-in battery to
power the monitor.
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Chapter1 Overview
1.13 Installation
1.13.1 Open the Package and Check
Open the package and take out the monitor and accessories carefully. Keep the package for possible future
transportation or storage. Check the components according to the packing list.
■
Check for any mechanical damage.
■
Check all the cables, modules and accessories.
If there is any problem, contact the distributor immediately.
1.13.2 Connect the Power Cables
Connection procedure of the AC power line:
„
Make sure the AC power supply complies with following specification: 100~240 VAC, 50/60 Hz.
Apply the power line provided with the monitor. Plug the power line to INPUT interface of the monitor.
Connect the other end of the power line to a grounded 3-phase power output.
Note
Connect the power line to the jack special for hospital usage.
„
Connect to the ground line if necessary. Refer to Chapter Animal Safety for details.
1.14 Power on the Monitor
Press power switch to power on the monitor. Then the company logo will show on the screen, After 15 seconds or
so, the system will enter monitoring screen after self-test, and you can perform normal monitoring now.
During self-test, the Model Code will display.
Note
If the monitor finds any fatal error during self-test, it will alarm.
Note
Check all the functions that may be used to monitor and make sure that the monitor is in good status.
Note
The battery must be recharged to the full electricity after each use to ensure adequate electricity reserve.
Warning
If any sign of damage is detected, or the monitor displays some error messages, do not use it on any animal.
Contact biomedical engineer in the hospital or Biocare Customer Service Center immediately.
Note
The interval between twice press of POWER should be more than 1 minute.
1.15 Connect Sensors
Connect all the necessary sensors between the monitor and the animal.
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Chapter1 Overview
Note
For information on correct connection, refer to related chapter 5-11.
1.16 Check the Recorder
If your monitor is equipped with a recorder, open the recorder door to check if paper is properly installed in
the output slot. If no paper present, refer to Chapter Recording for details.
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Chapter 2 Alarms
Chapter 2 Alarms
2.1 Alarms overview
2.1.1 Types of the alarms
The alarms can be divided into two types: physiology alarms and technical alarms.
Physiology alarms: triggered by some of animal physiological parameters exceed the limits,
taking the body temperature exceeding temperature alarm limit as an example.
Technical alarms: triggered by the abnormality of certain monitoring function or distortion of
monitoring results caused by failure of system or sensors, taking ECG lead off as an example.
2.1.2 Level of alarms
The alarms have three levels: high, medium and low.
The monitor has set levels for technical alarms and physiology alarms.
2.1.3 Modes of the alarms
When alarming, the monitor gives alarm prompts by three ways: sound alarm, light alarm, and
alarm message description.
The prompts of sound and light come from the speaker, the alarm indicator light and alarm
message description. The alarm message description is displayed on the screen. The physiology
alarm is displayed in the animal alarm information section, while the technical alarm displayed in
the monitor alarm information section.
When the physiology alarm occurs, which is caused by the measurement parameters exceeding
the alarm limit, the color of high limit and low limit would change from dark to bright, besides the
three means of alarm prompting mentioned above.
When there is “*” before technical or the physiology information section, it means low level
alarm. “**” means medium level alarm and the information bottom color will turn yellow. “***”
means high level alarm and information bottom color will turn red. For example: The “** HR TOO
HIGH” is the expression of medium alarm.
Physical alarm has 2 kind of alarm mode: LATCH or Unlatch. LATCH means that once alarm
occurs, the system will give alarm all the time until manual intervention (such as push the
“SILENCE” button on the panel). UNLATCH means that the system will stop giving alarm once
the alarm condition does not exist.
There are three levels of the alarm: high, midium, low, by using the different light and the sound.
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Chapter 2 Alarms
The following table shows in order:
Alarm level
alarm light
High
alarm light glitters red, the The
flicker frequency is quick
sound characteristic of the alarm
pattern
as
“honk
-
honk
-
honk------honk - honk, honk - honk honk------honk - honk”, each 8 seconds
occur once
medium
alarm light glitters yellow, the The pattern as “honk - honk - honk”,
flicker frequency is slow
Low
each 25 seconds emit sound once
alarm light is bright and The pattern as “honk -”, each 25 seconds
always show yellow
emit sound once
2.2 Alarms pausing
Presses “PAUSE” key on the control panel, all alarm sound and light and the alarm message are
closed. Then the system enters alarm suspend state. The suspension countdown time is displayed in
the area of the technical alarm.
Three options can be set about the alarm suspension time: 1 minute, 2 minute and 3 minutes. The
user must enter the window of the alarm setting, chooses correspondingly the suspension time. After
presses down of “PAUSE” key again, the system may restore to the normal state.
2.3 Alarms SILENCE
Presses “SILENCE” key on the control panel, then may close the sound and the light alarm;
when presses down “SILENCE” key again, will quit from alarm silence condition and reactivated
correspondingly sound alarm, returns to normal alarm condition.
If the alarm still exists under the condition of the silence state, then the information section
display this alarm information.
If there is no alarm exists under the condition of the silence state, then all the alarm will be
eliminated.
Attention
When the system is under the “SILENCE” condition, any newly triggered alarm will
terminate the silence condition, and then makes the system to restore to the normal alarm
condition.
2.4 Alarm Setting
Enter the alarm setting window, the options below may be set.
1) Alarm Volume: The scope is 1~10 (10 is the highest volume).
2) Suspend Time: 1 minute, 2 minutes, 3 minutes.
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Chapter 2 Alarms
3) Flash: if “On” is selected and there is physical alarm, corresponding parameter digit will flash
to indicate that the parameter has alarm.
4) Para Alarm: 2 items: LATCH or Unlatch. LATCH means that once alarm occurs, the system
will give alarm all the time until manual intervention (such as push the “SILENCE” button on the
panel). UNLATCH means that the system will stop giving alarm once the alarm condition does not
exist.
5) Alarm Record: If “On” is selected, the recorder will record the alarm event when physical
alarm occurs, otherwise it will not record.
6) Voice Alarm: If “On” is selected and alarm event occurs, a human voice alarm will
continuously notify the user, otherwise it will not notify by human voice.
Chart 2-1 alarm setting
2.5 Limits of the alarms
Physiology alarm is triggered according to the settings limits. Various parameters limits are
showed by the dark color in the parameter area of the upper corner on the left side. If the parameter
exceeds the limits, then triggers the physiology alarm at this parameter by the bright color. For
example: the low limit of the heart rate is 80, if at this time the heart rate is 60 pieces, then triggers
“HR TOO LOW”, the low limit of the heart rate “80” will be a bright color, the following chart will
show:
Chart 2-2 Alarm Limit
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Veterinary Monitor User’s Manual
Chapter 2 Alarms
2.5.1 ECG Alarm Limit
Choosing “ECG Alarm Limit” may enter “ECG Alarm Limit” window:
Chart 2-3 Ecg Alarm Limit
Following is the adjustment scope of the heart rate:
animal type
>20kg
10~20kg
<10kg
HR high limit
300
350
350
HR low limit
15
15
15
adjustment scope of the ST:- 2.00mV～2.00mV.
adjustment scope of the PVCs :0～10.
2.5.2 SpO₂ Alarm Limit
Choosing “SpO₂ Alarm limit” may enter “SpO₂ Alarm Limit” window:
Chart 2-4 SpO₂ Alarm Limit
The SpO₂ limit adjustment scope is 0～100;
The Pulse rate alarm limit adjustment scope are 20～300.
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Chapter 2 Alarms
2.5.3 NIBP Alarm Limit
Choosing “NIBP Alarm Limit” may enter “NIBP Alarm Limit” window:
Chart 2-5 NIBP Alarm Limit
The NIBP Alarm Limit adjustment scope as follows:
animal type
>20kg
10~20kg
<10kg
Systolic pressure high limit
280
220
135
Systolic pressure low limit
40
40
40
Diastolic pressure high limit
220
160
100
Diastolic pressure low limit
10
10
10
mean pressure high limit
240
170
110
mean pressure low limit
20
20
20
2.5.4 Resp Alarm Limit
Choosing “Resp Alarm Limit” may enter “Resp Alarm Limit” window:
Chart 2-6 Resp Alarm Limit
The Resp rate alarm limit adjustment scope is:7~120.
22
animal type
>20kg
10~20kg
<10kg
RR high limit
120
150
150
RR low limit
7
7
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Chapter 2 Alarms
2.5.5 Temp Alarm Limit
Choosing “Temp Alarm Limit” may enter “Temp Alarm Limit” window:
chart 2-7 Temp Alarm Limit
The Temp alarm limit adjustment scope is:0~50℃ (32～122℉).
2.5.6 Load Default Alarm Limit
Choosing “Load Default Alarm Limit” can enter “load default Alarm limit” window:
The chart 2-11 Load default Alarm Limit
If chooses “Yes”, then the current alarm limit settings will be able to substituted by the default
alarm limit settings.
2.6 Physiology alarm information
Below is all physiologies alarm tabulates:
Alarm Information
Trigger Condition
***ASYSTOLE
Over 4 seconds non- palpitations signals
*** APNEA
In a setting time without breath signal
*** NO PULSE
Over 15 seconds without pulse signals
** HR TOO HIGH
The heart rate exceeds the alarm high limit
** HR TOO LOW
The heart rate is lower than the alarm low limit
** ST-I TO HIGH
the ST value correlate with I surpass the upper
alarm limit
** ST-I TOO LOW
the ST value correlate with I surpass the lower
alarm limit
** ST-II TO HIGH
the ST value correlate with II surpass the upper
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Chapter 2 Alarms
alarm limit
** ST-II TOO LOW
the ST value correlate with II surpass the lower
alarm limit
** ST-III TO HIGH
the ST value correlate with III surpass the upper
alarm limit
** ST-III TOO LOW
the ST value correlate with III surpass the lower
alarm limit
** ST-AVR TOO HIGH
the ST value correlate with AVR surpass the
upper alarm limit
** ST-AVR TOO LOW
the ST value correlate with AVR surpass the
lower alarm limit
** ST-AVL TOO HIGH
the ST value correlate with AVL surpass the
upper alarm limit
** ST-AVL TOO LOW
the ST value correlate with AVL surpass the
lower alarm limit
** ST-AVF TOO HIGH
the ST value correlate with AVF surpass the
upper alarm limit
** ST-AVF TOO LOW
the ST value correlate with AVF surpass the
lower alarm limit
** ST-V TOO HIGH
the ST value correlate with V surpass the upper
alarm limit
** ST-V TOO LOW
the ST value correlate with V surpass the lower
alarm limit
** PVCs TOO HIGH
The PVCs value exceeds the alarm high limit
** SPO₂ TOO HIGH
The oxygen saturation exceeds the alarm high
limit
** SPO₂ TOO LOW
The oxygen saturation is lower than the alarm
low limit
** Pulse rate TOO HIGH
The Pulse rate surpass the alarm high limit
** Pulse rate TOO LOW
The Pulse rate are lower than the alarm low limit
**NIBP SYS TOO HIGH
NIBP systolic pressure exceeds the alarm high
limit
**NIBP SYS TOO LOW
NIBP systolic pressure is lower than the
lower
alarm limit
**NIBP MEAN TOO HIGH
NIBP mean pressure exceeds the alarm high limit
**NIBP MEAN TOO LOW
NIBP mean pressure is lower than the alarm low
limit
**NIBP DIA TOO HIGH
NIBP diastolic pressure exceeds the alarm high
limit
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Chapter 2 Alarms
**NIBP DIA TOO HIGH
NIBP diastolic pressure is lower than the alarm
low limit
** RR TOO HIGH
The Breath rate exceeds the alarm high limit
** RR TOO LOW
The Breath rate is lower than the alarm low limit
** TEMP1 TOO HIGH
The body temperature channel 1 exceeds the
alarm high limit
** TEMP1 TOO LOW
The body temperature channel 1 is lower than the
alarm low limit
** TEMP2 TOO HIGH
The body temperature channel 2 exceeds the
alarm high limit
** TEMP2 TOO LOW
The body temperature channel 2 is lower than the
alarm low limit
2.7 Technical alarm information
Below is all technical alarm tabulates:
Alarm Information
Trigger Condition
Process Method
** ECG LEAD OFF
RL or more than 2 ECG leads
check
falls off
connection
RA lead fall off
check
** ECG LEAD RA OFF
the
the
ECG
lead
ECG
lead
ECG
lead
ECG
lead
ECG
lead
connection
** ECG LEAD LA OFF
LA lead fall off
check
the
connection
** ECG LEAD LL OFF
LL lead fall off
check
the
connection
** ECG LEAD V OFF
V lead fall off
check
the
connection
** MODULE INIT ERR
Module
self-checking
mistake
Restart the machine, if error
still existed, contact the
factory service
***MODULE COMM STOP
** MODULE COMM ERR
** PARA ALARM LMT ERR
The module and the main
Restart the machine, if error
engine communication have
still existed, contact the
the problem
factory service
The module and the main
Restart the machine, if error
engine communication have
still existed, contact the
the problem
factory service
The parameter of the alarm
contact the factory service
limit is modified by the
accident
** RANGE EXEED
The parameter observed value
contact the factory service
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Chapter 2 Alarms
has exceed the measurement
scope which the system can
carry on
** SpO₂ SENSOR OFF
** SpO₂ FINGER OFF
SEARCHING PULSE...
SpO ₂
sensor
does
not
Check
SpO ₂
sensor
connected
connection
The finger fall off from SpO₂
Check SpO₂ sensor connect
sensor
with the finger
SpO₂ sensor connect bad or
Check
the animal move the arm
connection
SpO ₂
sensor
situation
and
animal current condition
** Temp1 SENSOR OFF
The
body
temperature
channel 1 sensor do not
Check temperature sensor
connection
connect
** Temp2 SENSOR OFF
The
body
temperature
channel 2 sensor do not
Check temperature sensor
connection
connect
** WATCHDOG ERR
Main
engine
watch-dog
self-checking defeat
Restart
the
machine,
if
wrong still existed, contact
the factory service
** SYSTEM TIME LOST
The system clock has not set
Change the system time as
the current time, if error still
existed, related the factory
to carry on the service
** 12V HIGH
** 12V LOW
** 3.3V HIGH
The 12V voltage examination
Restart the machine, if error
exceeds the normal voltage
still existed, contact the
scope
factory service
The 12V voltage examination
Restart the machine, if error
is lower than the normal
still existed, contact the
voltage scope
factory service
The
3.3V
examination
voltage
exceeds
the
normal voltage scope
** 3.3V LOW
**BAT HIGH
The
factory service
Restart the machine, if error
examination is lower than the
still existed, contact the
normal voltage scope
factory service
battery
examination
voltage
exceeds
the
normal voltage scope
**BAT LOW
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Veterinary Monitor User’s Manual
still existed, contact the
voltage
The
3.3V
Restart the machine, if error
The
battery
capacity
Restart the machine, if error
still existed, contact the
factory service
is
Meets the alternating current
Chapter 2 Alarms
insufficient
to carry on the charge
immediately to the battery
* NIBP LOOSE CUFF
Reconnects
The cuff has not connected
the
blood
pressure cuff
* NIBP AIR LEAK
check the pipe connection
The cuff has not connected
situation or replace cuff, if
good or the air course leaks
the breakdown still existed,
air
please contact the factory
service
* NIBP DEFLATE ERR
When
blood
pressure
measurement deflates has the
problem
check the tube connection or
replace cuff, if the error still
existed, please contact the
factory service
Examined the animal type
* NIBP WEAK SIGNAL
When
blood
pressure
set whether correctly, check
measurement the pulse signal
the
too
replace cuff, if the error still
weak,
is
unable
to
calculate the blood pressure
tube
connection
or
existed, please contact the
factory service
* NIBP OUT OF RANGE
When
blood
measurement
pressure
blood
check he tube connection or
pressure or the pulse signal
replace cuff, if the error still
exceeds the normal range, is
existed, please contact the
unable
factory service
to
the
carry
on
the
measurement
* NIBP MOVEMENT
animal arm move
Check the animal situation
or replace cuff, if the error
still existed, please contact
the factory service
** NIBP OVER PRESSURE
The pressure value exceeds
check the pipe connection
the measurement scope
situation or replace cuff, if
the error still existed, please
contact the factory service
* NIBP SATURATE
When
blood
pressure
Check the animal situation
measurement the pulse signal
or replace cuff, if the error
exceeds the normal range, is
still existed, please contact
unable
the factory service
to
carry
on
the
measurement
* NIBP PNEUMATIC FAIL
The cuff has not connected
check the pipe connection
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27
Chapter 2 Alarms
good or the air course leaks
situation or replace cuff, if
air
the error still existed, please
contact the factory service
** NIBP SYSTEM ERR
Blood
pressure
system
self-check defeat
Restart the machine, if the
error still existed, please
contact the factory service
** NIBP TIME OUT
Blood pressure measurement
Restart the machine, if the
overtime
error still existed, please
contact the factory service
** NIBP MEASURE FAIL
** NIBP RESET ERR
This
pressure
Check the animal situation
measurement has not been
or replace cuff, if the error
able to calculate the blood
still existed, please contact
pressure
the factory service
When
blood
blood
measurement
reset
pressure
Restart the machine, if the
exceptionally
error still existed, please
contact the factory service
Attention
1. When different level of alarm simultaneously exists, the sound of the alarm is the highest
level alarm.
2. In alarm suspend condition, Monitoring will not process any alarm information.
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Veterinary Monitor User’s Manual
Chapter 3 Record
Chapter 3 Record
3.1 Record setting
Chart 3-1 recording settings
1) record waveform 1, record waveform 2: there are five options of the waveform to be choose:
off, ECG1, ECG2, pulse wave, respiratory wave, IBP1 wave, IBP2 wave, CO₂ wave. The user may
choose simultaneously two waveforms to record, or choose one waveform to record while close
another record wave.
2) record length: there are two options, which are “continuous”, “8 seconds”. “continuous” means
that the record can continuously output the wave until presses down the “RECORD” key again.
3) record period: the time interval of two record outputs. There are
10 options which are: off,
10 minutes, 20 minutes, 30 minutes, 40 minutes, 50 minutes, 1 hour, 2 hours, 3 hour and 4 hours.
The recording length is 8 seconds.
4) record speed: There are two options, which are “25.0mm/s” and “50.0mm/s”.
5) record grid: “Off” means non- grid output. “On” means grid output.
3.2 Record type
The monitor can carry on several kinds of types record: the continuously real-time records; 8
seconds real-time records; Automatic 8 second records.
3.2.1 Real-time record
This means that it starts the real-time recording waveform when presses down the recording key ,
and stops the record when press down the recording key again in the recording process .
3.2.2 Auto record
The monitor can trigger the record output according to the time interval. the recording length is 8
seconds.
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Chapter 3 Record
3.3 Record content
The record outputs contents: The recording type, the animal information, the parameter table, the
record time, the waveform name, the waveform amplitude and waveforms.
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Veterinary Monitor User’s Manual
Chapter 4 Admit/Discharge Aninal
Chapter 4 Admit/Discharge Animal
4.1 Admit Veterinary
The step of receiving new Veterinary is as follows:
enter “Veterinary info” window by choosing the “Admit new Animal” menu, and input the
animal information (the following chart to show).
Chart 4-1 admit new Veterinary
choose the ”OK” button , the animal’s information is accepted.
4.2 Discharge animal
Enter the “Discharge animal” window by choosing ”Discharge animal” menu, as the following
chart to show.
Chart 4-2 Discharge Veterinary
Carry on the following operations to relieve the Veterinary:
1) Discharge all animal information;
2) Discharge all historical data (including trend graph, trend table, blood pressure review,
waveform review data);
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Chapter 4 Admit/Discharge Aninal
Attention
If do not relieve the animal firstly before receive new animal, new animal’s measurement
data would be save in the preceding animal 's data. The monitor can not distinguish the new
animal data from the old one.
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Veterinary Monitor User’s Manual
Chapter 5 ECG Monitoring
Chapter 5 ECG Monitoring
The ECG monitors the heat electricity activity of the body, and shows the heart electricity
waveform and the heart rate on the monitor.
5.1 Connecting ECG electrodes
1) make the animal’s skin preparation at first before place the electrode. A good signal at the
electrode provides the monitor with valid information for ECG data processing.
Clean the skin with the soap and the water (don’t use aether and pure alcohol, because this can
increase skin impedance) or scratches the skin dry to increase the blood stream capillary of the
organization, and remove skin filings and fat. If necessary, shave the hairs in which the electrode is
placed.
2) place the electrode on the animal’s body.
3) Connect the ECG-lead with the animal cable.
5.2 ECG electrode placement
The position of the ECG electrode is as follows:
The RA (right arm) electrode — place under the subclavian, approaching the right shoulder.
The LA (left arm) electrode — places under the subclavian, approaching the left shoulder.
The LL (left leg) electrode — places under the left abdomen.
The RL (right leg) electrode — places under the right abdomen.
The V (chest) electrode — places on the chest.
Chart 5-1 The position of electrode
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33
Chapter 5 ECG Monitoring
Warning
When connecting the cables and electrodes, make sure no conductive part is in contact with the ground.
Verify that all ECG electrodes, including neutral electrodes, are securely attached to the animal.
Warning
Verify lead fault detection before start of monitoring. Unplug the ECG cable from the socket, the
screen will display the error message “ECG LEAD OFF” and the audible alarm is activated.
5.3 Connecting ECG leads recommended for surgery
The position of ECG electrode is decided by the type of the operation. For example, regarding the
chest operation, the electrode may be put on the chest side or the back. Sometimes in the operating
room, because of using surgical equipment, the artifact possibly can affect the ECG waveform. In
order to reduce the artifact, place the electrode on the left or right shoulder, approaching the left or
right side of the abdomen, however, the chest leads can be placed on the center of the chest left side.
Avoid to place the electrode on the upper arm, otherwise ECG signal can be very weak.
A good characteristic of the ECG-waveform:
the QRS wave height is great and narrow with no notchs.
The R wave height is big and located completely above the baseline or under.
The amplitude of the P wave and the T wave is smaller than 0.2mV.
Chart 5-2 standard ECG-waveform
Warning
Do not touch the animal, table nearby, or the equipment during defibrillation.
Warning
When apply the ECG cable with no resistances to animal monitor or other animal monitors which
themselves with no current limit resistance, it can’t be applied to defibrillation.
Note
Interference from a non-grounded instrument near the animal and ESU interference can cause
inaccuracy of the waveform.
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Veterinary Monitor User’s Manual
Chapter 5 ECG Monitoring
Warning
When using ESU equipment, leads should be placed in a position in equal distance from ESU
electrotome and the grounding plate to avoid cautery. ESU equipment wire and ECG cable must not be
tangled up.
5.4 ECG setting
enter the” ECG setting” window by choosing the “ECG setting” menu, as can be seen from the
following chart:
Chart 5-3 ECG settings menu
1) Pacemaker: When it is turned on, the pacing signal, which is considered as the pacing symbol,
is shown as a vertical line above the ECG waveform l; When it is turned off, the pace maker will
not be detected.
2) channel 1 lead, channel 2 lead: There are 7 leads: I, II, III, AVR, AVL, AVF, V.
3) channel 1 gain, channel 2 gain: There are four gains: “×0.25”, “×0.5”, “×1”, “×2”. 1
millivolt ruler mark is displayed on the right of the ECG waveform, the height of which make a
direct ratio with the wave amplitude.
4) Notch: work frequency suppression switch, when it is “On” will filter the AC disturbance of
ECG signal.
5) filter mode: There are 3 filter modes, diagnostic, monitor and surgery.
In “diagnostic” mode, The ECG wave without filtering is displayed;
In “monitor” mode, the artifact which causes the false alarm, is filtered out;
In “surgery” mode, the artifact and the disturbance caused by the electricity surgical equipment
can be reduced.
The filter modes can be displayed above the heart electricity waveform.
6) heart volume: the range is from 0 to10, “0” means that the sound of heartbeat is shuted, “10”
means it is on the maximum volume.
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Chapter 5 ECG Monitoring
7) wave speed: There are three levels of the ECG waveform tracing speed to be chosen, 12.5,
25.0 and 50.0 mm/s.
8) HR source：there are “Auto”, “Ecg”, “SpO₂”. When “Ecg” is selected, HR and heart sound
are from ECG; when “SpO₂”is selected, HR and heart sound are from SpO₂;when “Auto” is
selected, animal monitor will auto detect the ECG and SpO₂ signal, HR will from ECG when
ECG signal exist, otherwise is from SpO₂;
9) ST switch: When it is “On”, the ST analysis is carried on; otherwise, it isn’t.
10) arrhythmia switch: When it is “On”, the arrhythmia analysis is carried on, which shows the
PVCs parameter in the parameter area; Otherwise, the arrhythmia analysis isn’t carried on, and the
PCVs parameter is not shown.
Attention
When the Pace analysis is turned on, the arrhythmia which is related to PVC／Premature
Ventricular Contractions(including the PVCs computation), will not be detected,
simultaneously, the ST section analysis is not carried on.
Warning
1) Don’t touch the animal or the monitor in the period of defibrillating.
2) In order to ensure the animal safety, all leads must be connected to the animal
3) When the electricity surgical (ES) equipment is used, lay the ECG-lead in the middle of
both the ES ground plate and ES to avoid burning. The cable of the electricity surgical
equipment cannot twist with the ECG-cable.
4) When the electricity surgical (ES) equipment is used, don’t place the electrode on the
ground plate near the electricity surgical equipment. Otherwise, the ECG-signal will be
disturbed.
5) If monitoring a animal with the pacemaker, set “PACE” to On. If monitoring a animal
without pacemaker, set “PACE” to Off.
6) Regarding the pacemaker animal, the pacing switch must be “On”, otherwise, it is
possibly to consider the pacing pulse as the normal QRS
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Veterinary Monitor User’s Manual
Chapter 6 Resp Monitoring
Chapter 6 Resp Monitoring
6.1 Principles of Respiration measurement
When the human body breathes, the chest impedance will change along with the breath, the monitor
gets the breath signal through the chest impedance value from the RA and the LL electrodes at the
chest. After amplify the signal of the impedance between the electrodes (as a result of the thorax
activity), the breath wave will be displayed on the screen.
6.2 Placing the electrodes
Connect the electrodes like the way that connect the heart electrodes at 5.1.
6.3 Resp settings
Choose the “Resp settings” menu and enters “Resp setting” window.
Chart 8-1 RESP settings
1) Apnea alarm: Setting the judgment time while the animal is asphyxiating, between 10 seconds
and 40 seconds, if switch the settings off, indicate the asphyxiation alarm is closed.
2) Waveform speed: you can choose the waveform speed at 6.25mm/s, 12.5mm/s,25.0 mm/s .
3) Amplitude: The user may setting the amplitude’s enlargement factor, has ×0.25, ×0.5, ×1, ×2,
×4 altogether 5 levels.
4) RR Source: when “Ecg” is selected, RR is from ECG leads; when “CO₂” is selected, RR is
from CO₂ module and AwRR is displayed on parameter area.
Attention
Resp monitoring is not recommended on animal who moves a lot, because this possibly
causes wrong alarm.
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37
Chapter 6 Resp Monitoring
Attention
Place the RA and the LL electrode in the animal opposite angle of the body in order to
obtain the best breath wave. Should avoid the liver area and the ventricle at the breath
electrode’s lines, this may avoid the false difference to be caused by the heart beat or pulsing
blood stream, this is specially important to the animal.
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Veterinary Monitor User’s Manual
Chapter 7 SpO₂ Monitoring
Chapter 7 SpO₂ Monitoring
The Oxygen Saturation (SpO₂) parameter measurement the artery blood oxygen saturation, it is the
percentage of the oxygen gathers hemoglobin .For example, if in the artery blood red blood cell,
97% hemoglobin combine with the oxygen, then this blood has 97% oxygen saturation, the value
reading on the monitor should be 97%, this value demonstrated the percent of the carry oxygen
hemoglobin molecule which forms the oxygen gathers hemoglobin.
7.1 Monitoring Procedure
1. Switch on the monitor.
2. Attach the sensor to the appropriate site of the animal finger.
3. Plug the connector of the sensor extension cable into the SpO2 socket
Note
If the sensor cannot be positioned accurately to the part to be measured, it may result in inaccurate SpO2
reading, or even that the SpO2 cannot be measured because no pulse is detected. If this is true, you must
position the sensor again.
The excessive animal movement may result in inaccurate reading. In this situation, you must keep the
animal quiet or change the part for monitoring to reduce the adverse influence of excessive movement.
Warning
In the process of extended and continuous monitoring, you should check the peripheral circulation and the
skin every 2 hours. If any unfavorable changes take place, you should change the measured position in
time.
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39
Chapter 7 SpO₂ Monitoring
In the process of extended and continuous monitoring, you should periodically check the position of the
sensor. In case that the position of the sensor moves during monitoring, the measurement accuracy may be
affected.
7.2 Measurement restrictions
In the operating process, following factors may affect the accuracy of the oxygen saturation
measurement:
1) High-frequency electrical jam, such as the disturbance which is produced by monitor system
oneself or comes from such as the electricity surgery instrument disturbance which connected with
the system;
2) In magnetic resonance image formation scanning (MRI) period do not use the blood oxymeter
and the blood oxygen sensor, the induced current possibly can cause the burn;
3) In vein dye;
4) animal too frequently migration;
5) Outside ray radiation;
6) Sensor installment inappropriate or contact the improper position with the object;
7) Body temperature (best body temperature should in 28℃- 42℃);
8) Lay aside the sensor in the body has the blood pressure cuff, in the ductus
9) arteriosus or the cavity on the pipeline body;
10) The density of the non- function hemoglobin like carbon oxygen hemoglobin (COHb) and
blood and iron hemoglobin (MetHb) and so on;
11) Oxygen saturation lowly;
To be circular poured is not good at the test part;
Shock, anemia, the low temperature and applies the vasoconstriction medicine and so on all
possibly cause the artery blood stream to be reduced to the level which was unable to measurement;
12) Measurement is also decided on the oxygen gathers hemoglobin and the absorption situation
of the return oxygen gathers hemoglobin to the special wave length light. If other substances which
absorb the same wave length light exist, they can cause the measurement to appear pseudo or the
low oxygen saturation value. For example: Carbonizes the hemoglobin, the blood and iron
hemoglobin, the methylene blue, indigo carmine.
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Chapter 7 SpO₂ Monitoring
7.3 SpO₂ setting
Chooses “SpO₂ settings” menu and enters “SpO₂ setting” window.
Chart 9-1 SpO₂ settings
1) Pulse volume: the volume choice scope is the 0~10,0 denotes closure pulse sound, 10 denotes
maximum volumes.
2) Sensitivity: the sensitivity for computing oxygen saturation value, has “high”, “medium”,
“low” three options.
3) Wave speed: the waveform scanning velocity has 12.5 and 25mm/s ,two levels may choose.
4) Pulse rate: setting as “On”, in parameter area will show Pulse rate; otherwise the Pulse rate
will not be displayed.
5) Wave Mode: when “Line” is selected, will use line mode to draw pleth wave; when “Fill” is
selected, will use fill mode to draw pleth wave;
Warning
1) If it has the carbon oxygen hemoglobin, metahemoglobin or dye dilution chemicals, then
the oxygen saturation value can have the deviation;
2) Electricity surgical department equipment electric cable cannot twine with the sensor
cable in the same place;
3) Do not place the sensor at the body has the ductus arteriosus or the vein syringe ;
4) Guarantees the nail to block the lights. Sensor should at the back of hand;
5) Do not place SpO₂ or the blood pressure oversleeve blood pressure measurement on the
same body, because in the blood pressure measurement process the blood stream
unenlightened can affect the oxygen saturation reading.
6) Continually, the excessively long time monitor possibly can increase do not hope danger
that the skin characteristic change occurs, for example exceptionally sensitive, changes red,
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Chapter 7 SpO₂ Monitoring
bubbles or pressure necrosis, specially in the small animal or has pour barrier as well as the
change or juvenility skin kind sickness person;
7) In the long time continuous monitoring process, about every 2 hours inspects the
measurement SpO₂ the end circulation situation and the skin situation, if discovered changes
not good, should change the measurement SpO₂ promptly, simultaneously should periodical
inspection the sensor fastness situation, avoids the sensor fastness situation change caused by
the moving and so on the factors affect the accuracy of the measurement;
8) If the test SpO₂ and the sensor cannot locate accurately, possibly causes the oxygen
saturation reading inaccurate, even unable to search the pulse wave result in unable to carry
on the blood oxygen monitor, this time should relocate;
9) Measurement SpO₂ move excessively possibly creates measurements inaccurate, this
time should cause the animal peaceful or the replacement measurement SpO₂, reduces the
influence of moves excessively to the measurement
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Chapter 8 NIBP Monitoring
Chapter 8 NIBP monitoring
8.1 NIBP measurement procedure
Warning
Use accessories specified by Biocare only, otherwise; the device may not function normally.
Warning
■ Before starting a measurement, verify that you have selected a setting appropriate for
your animal (>20kg, 10~20kg or <10kg.)
■ Do not apply the cuff to a limb that has an intravenous infusion or catheter in place. This
could cause tissue damage around the catheter when infusion is slowed or blocked during
cuff inflation.
Warning
Make sure that the air conduit connecting the blood pressure cuff and the monitor is neither
blocked nor tangled.
Notes
The blood pressure of the animal as the basis for establishing therapy may be obtained by
using other method such as the cuff/stethoscope auscultation method. Accordingly, the clinical
doctor must note that the values obtained by using other method and machine may be
different.
Notes
NIBP monitoring uses the oscillometric method of measurement. Blood pressure determined
with this device are equivalent to those obtained by a trained observer using the
cuff/stethoscope auscultation method and an intra-arterial blood pressure measurement
device, within the limits prescribed by the ANSI/AAMI SP10.
Notes
This equipment is suitable for use in the presence of electro-surgery.
1) Insert the gas tube into the blood pressure socket of the monitor;
2) Tie the blood pressure cuff on the animal upper arm or the thigh;
3) Use the suitable size cuff for the animal, guaranteed the symbol Ф is located above to the
suitable artery. Guarantee
the cuff to twine the body is not too tight, otherwise possibly causes the
body far-end to change color even lacks the blood;
4) Inspects the edge of the cuff to fall in the range signed <->.If it is not this, exchange a more
appropriate cuff;
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Chapter 8 NIBP Monitoring
5) Confirm the cuff deflated completely;
6) Cuff and gaseous tube coupling. The body which will be measured should put in the same
horizontal position with the animal heart. If it is unable to achieve, must use the following
adjustment method to make the revision to the measurement result
If the cuff is higher than the heart horizontal position, each centimeter disparity should add
0.75mmHg(0.10kPa) in the value.
If the cuff is lower than the heart horizontal position, each centimeter disparity should reduce
0.75mmHg(0.10kPa) in the value.
7) Confirm the animal type whether correct (animal type shows in the block of information on the
monitor, the right side of bed number), if needs to change the animal type, please enter “the animal
information” window, change “the animal type”;
8) Press down the blood pressure measurement button on the front panel, start to measures the
blood pressure.
8.2 NIBP measurement limits
This machine NIBP measuring technique is the vibration mothod, this kind of measuring technique
basis has the certain limit according to difference metrical object. The user should realize at
following several situations, the observed value changes unreliable, or the time measured press
increases or the measurement is unable to carry on.
1) animal movement: If the animal is moving, trembles or the convulsion;
2) Arrhythmia: the irregular heart beat caused by the arrhythmia;
3) Heart-lung machine: such as the animal uses the heart-lung machine connection;
4) Pressure variation: such as while in blood pressure measurement the animal blood pressure
rapid change;
5) Serious shock: such as the animal is being in the serious shock or the hypothermia;
6) The heart rate exorbitant or lower: The heart rate is lower than 40bpm (heart beat/minute) and
is higher than
240bpm (heart beat/minute), cannot carry on the blood pressure measurement;
7) Obese animal: The excessively thick fat stratum can reduce the accuracy of the measurement,
because the fat can cause the artery pulse signal cannot arrive the cuff.
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Chapter 8 NIBP Monitoring
8.3 NIBP settings
Chart 10-1 NIBP settings
1) Pressure unit: mmHg or kPa is optional.
2) measurements mode: have 3 kinds of mode: manual, automatic, STAT.
Under the manual measurement way, presses down the blood pressure measurement button on the
control panel, then starts the manual measurement once;
Under the automatic measurement way, presses down the blood pressure measurement button on
the control panel, then starts the automatic measurement once, afterwards the monitor can automatic
start blood pressure measurement defer to the period;
Under the STAT measurement way, presses down the blood pressure measurement button on the
control panel, then starts to continuously measure for 5 minutes.
While the blood pressure measuring, the user presses down the blood pressure measurement
button on the control panel anytime, can stop the current blood pressure measurement.
3) The automatic sampling interval: If the measurement pattern setting as “automatically”, then
the automatic sampling interval button will be available.
The automatic sampling interval time can be chosen in 1 minute, 2 minutes, 3 minutes, 4 minutes, 5
minutes, 10 minutes, 15 minutes, 30 minutes, 60 minutes, 90 minutes, 2 hours, 3 hours, 4 hours, 8
hours.
After choose the time interval, presses down the blood pressure measurement button will start the
first automatic measurement charge, in order to finish the automatic measurement should choose the
“manually” returns to the manual pattern while in sampling interval period.
8.4 Blood pressure calibrations
Using the precision of the pressure gauge (or mercury sphygmomanometer) is higher than 1
mmHg after the calibration carries to carry on the calibration, choose “noninvasive blood pressure
calibration” in the “the maintenance” menu to start to carry on the calibration, if presses down the
blood pressure measurement button while calibrating , then the system will stop calibrating.
Connect the pressure gauge, the cuff through a 3-way tube to the blood pressure trachea jack on the
monitor, setting the monitor as “the calibration” pattern, then charge the cuff using a air pump, first
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Chapter 8 NIBP Monitoring
make the pressure to 250 mmHg, then slowly deflates, when the monitor display 200, 150 and 50
mmHg, the disparity between the standard pressure gauge value and the monitor pressure value
should in 3 mmHg. If the value exceeds 3 mmHg, please contact our company’s attendant.
Attention: The cuff must entangle in the suitable big and small pillars.
Warning
You shall calibrate NIBP measurement once every two years (or as required in your hospital’s
maintenance regulation). You shall check the performance according to following information.
8.5 leakage examination
When the cuff is connected may use this function to start air course charge process, thus to
discover whether the air way’s airtight condition is good or not. If the test passes, the system will
not make any prompt; If do not passed, then in the noninvasive blood pressure parameter area will
have the corresponding wrong prompt.
The air leakage examination process:
1) Connect the cuff and the blood pressure socket on the monitor;
2) Wrap the cuff around a suitable cylinder;
3) Choose “NIBP Pneumatic Test” in “Service” menu, the noninvasive blood pressure parameter
area diplays “Pneumatic test......”, indicated the system starting to carry out leak air examination;
5) After about 20 seconds, the system will turn on the valve automatically, marking leaks air
examination is completed;
6) If in the noninvasive blood pressure parameter area does not prompt the information, indicate
the system does not leak air. If “Pneumatic leak!” is displayed, indicate the air course possibly leaks
air. The operator should check loose conditions and carry on the leaks air examination again after
confirming all connections are ok.
Warning
1) Can’t carry on the noninvasive blood pressure on the animal who have the sickle cell
anemia or have the skin disrepair or will have damage.
2) To the animal who has the serious hemoglutination machine-made barrier, must
according to the clinically appraise decided whether carries on the automatic blood pressure
measurement, because the place where the body and the cuff friction will has have the
haematoma danger.
3) Before start the measurement, you must confirm the animal type is correct.
4) Do not enwind the cuff to the body have the venous transfusion or inserted the drive pipe,
while cuff charging period, when the transfusion reduces speed or stops up, possibly causes
damage around the drive pipe.
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Chapter 8 NIBP Monitoring
5) If the time of the automatic pattern noninvasive blood pressure measurement pull too
long, then the body connected with the cuff possibly have the purpura, lack the blood and the
neuralgia. When guarding animal, must inspect the luster, the warmth and the sensitivity of
the body far-end frequently. Once observes any exception, please immediately stop the blood
pressure measurement.
6) The calibration of the noninvasive blood pressure measurement is supposed to be carried
on one time every year. (Or according to the maintenance regulation of your hospital).
7) The cuff width should be 40% size of the body perimeter. or the 2/3 of the upper arm
length. The length of the cuff charging part should long enough surround 50~80% of the body,
the inappropriate size cuff can have the wrong reading. If the cuff size has the question,
should use the bigger cuff to reduce the mistake.
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Chapter 9 Temperature Monitoring
Chapter 9 Temperature Monitoring
9.1 Steps of temperature measurement
1) Insert temperature sensor directly into the socket.
2) Power on animal monitor.
9.2 Temperatures settings menu
Chooses “Temperature setting” menu and enters “Temp setting” window:
Chart 11-1 Temperature settings
Temperature unit: Choose ℃ or ℉.
Warning
Before start to use the temperature measuring , please examine whether the sensor cable is
normal. Unplug the temperature sensor cable from the socket, the screen will display the
error message “Temp sensor off” and sends out the sound alarm.
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Chapter 10 History Review
Chapter 10 History Review
The monitor can storage 72 hours trend data of the whole monitored parameters and 1000
noninvasive blood pressure measurement data. The monitor collects data of parameter every minute
and preserves it in trend data, the operator may choose trend graph or trend table to examine the
trend data. Every time the noninvasive blood pressure measurement data is obtained, it will be
stored in the noninvasive trend data, the operator may choose the noninvasive blood pressure
review to look over the noninvasive blood pressure trend data.
10.1 Trend Graph
The trend graph permits operator observing the stored trend data in graph mode. The recent 72
hours trend data is displayed as a trend curve with a resolution of 1 second, 5 second, 1 minute, 2
minutes, 3 minutes, 4 minutes or 5 minutes.
Choosing the “Trend Graph” in the “Review” menu will spring out the following window:
Chart 12-1 Trend Graph
In trend graph window, time shows underneath the X axis, recent time is displayed on the nearest
right side, scope value of parameters is displayed on left side of the Y axis.
10.1.1 Select parameters
By selecting the “parameter” list box with cursor, the operator may choose the parameter trend
that is to be displayed. After the anticipant parameter appears, its trend graph will show in the
window by pressing down the revolving button.
10.1.2 Set period
By selecting the “period” option, the operator may choose a period of 1 second, 5 seconds, 1
minute, 2 minutes, 3 minutes, 4 minutes or 5 minutes.
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Chapter 9 Temperature Monitoring
10.1.3 Adjust observing time
With the button “ ” and “ ”, the operator may move the time of trend graph a second length
forward or backward (current period). With the button “ ” and “
”, the operator may move the
time of trend graph a page forward or backward. By selecting the button “ ” the operator may
move the time of trend graph 72 hours forward, and “
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” to current time.
Chapter 10 History Review
10.2 Trend table
The trend graph permits operator observing the trend data in tabulate mode. The recent 72 hours
trend data is displayed as a trend curve with a resolution of 1 minute, 2 minutes, 3 minutes, 4
minutes, 5 minutes, 10 minutes, 15 minutes, 30 minutes or 60 minutes.
Choosing the “Trend Graph” in the “Review” menu will spring out the following window:
Chart 12-2 trend table menu
In the window of trend table, the time shows underneath the parameter tabulates, the recent time
is displayed on the nearest right side, the parameter name and the unit are displayed in the first
column.
The alarm events may also be observed in the trend table: The alarm time of parameter is saved
in the trend data, if the parameter alarm, the trend data in the correspond alarm time period would
be displayed with a yellow background color.
10.2.1 Set period
By selecting the “period” option with cursor, the operator may choose a period of 1 minute, 2
minutes, 3 minutes, 4 minutes, 5 minutes, 10 minutes, 15 minutes, 30 minutes or 60 minutes.
10.2.2 Adjust observing time
With the buttons “ ” and “ ”, the operator may move the time of trend graph a step length
forward or backward (current period). With the buttons “ ” and “
”, the operator may move the
time of trend graph a page forward or backward. By selecting the button “ ”, the operator may
move the time of trend graph 72 hours forward, and “
”the current time.
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Chapter 10 History Review
10.3 Alarm Review
When physical alarm occurs, the monitor will save all the parameters and 16 seconds waveforms
in the alarm event database. the monitor can display 200 alarm event in the alarm review.
Choosing the “Alarm Review” in the “Review” menu will display recent alarm event information,
just as the following chart shows:
z Sequence number: format is I/N which I means the index of alarm event and N means
the total alarm event number in the database, as chart 12-4 shown. new alarm has
smaller number, eg, No 1 means the closest alarm.
z Alarm event’s time；
z Alarm event’s type；
z Parameters when alarm occurs；
z 2 channels of waveform, 16 seconds for both channels；
Chart 12-4 NIBP measurement review
10.3.1 Alarm Type
There are 6 types of alarm event: “All”, “ECG”, “NIBP”, “SpO2”, “RESP”, “TEMP”, “All”
means all parameters. User can select the parameter’s alarm event to view.
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Chapter 10 History Review
10.3.2 Choose Alarm
User may use button “
“ and “
“ to choose alarm event. By selecting “
previous event will be displayed, selecting “
“ button, the
“ button, the next event will be displayed,
10.3.3 Select waveform
With the buttons “ “ and “ “, the operator may move the alarm waveform a page forward or
backward.
10.3.4 Record
The recorder will output current alarm event if the user pressed button ”Record”.
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Chapter 10History Review
10.4 NIBP Review
The monitor may display the recent 1000 pieces of noninvasive blood pressure measurement data
in the NIBP review.
Choosing the “NIBP Review” in the “Review” menu will display the results and time of the
recent 10 pieces of noninvasive blood pressure measurement, just as the following window shows:
Chart 12-4 NIBP measurement review
The data is arranged in order according to the time, the recent measurement data is displayed on
the topside, 10 measurement data can be displayed on the screen each time. The buttons “ ” and
“ ”can display the pre or the next measurement data. With the buttons “ ” and “
”, the operator
may move the time of trend graph a page forward or backward. By selecting the button “ ”, the
operator may see the earliest measurement data, and “
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”the most recent.
Chapter 10History Review
10.5 Wave review
The monitor can display 1 hour waveform data in the waveform review.
Choosing the “wave review” in the “history review” menu will display the recent measurement
waveform, just as the following chart shows:
Chart 12-5 waveform review
Above the waveform shows the interrelated information: waveform scanning velocity, current
review time, the currently reviewed parameter measurement tabulate.
10.5.1 Select waveform
By selecting “waveform 1” and “waveform 2” with cursor, the operator may choose the
waveform that he wants to observe: ECG1, ECG2, pulse wave and resp wave.
10.5.2 Adjust observing time
With the buttons “ “ and “ “, the operator may move the waveform a page forward or backward.
With the buttons “
“ and “
“, the operator may move the waveform one minute forward or
backward. By selecting the button “ “, the operator may move the waveform time one hour
backward, and “
“the current time.
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Chapter 10History Review
Attention
The trend data can be preserved for 720 hours after the turning off of the monitor. If the
monitor is turned on after 720 hours’ power-off, the trend data would be eliminated.
The waveform review data can be preserved for 2 hour after the turning off of the monitor.
If the monitor is turned on after 2 hour’s power-off, the waveform review data would be
deleted.
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Chapter 11 Drug Calculation
Chapter 11 Drug Calculation
This monitor provides the function of computation for 21 kinds of medicines and the titration
table.
11.1 Drug Calculation
The kinds of medicine that can be computed include: AMINOPHYLLIN, DOBUTAMINE,
DOPAMINE, EPINEPHRINE, HEPARIN, ISUPREL, INOCOR, INSULIN, INSUPREL,
LIDOCAINE, NIPRIDE, NITROGLYCERIN, NOREPINEPHRINE, PITOCIN, PROCAINAMIDE,
VASOPRESIN. DRUG A, DRUG B, DRUG C, DRUG D, DRUG E have been provided in addition
to replace any kind of the medicine nimbly.
Selecting the “Drug Calculate” in the menu will spring out window as the following chart shows:
Chart 13-1 Drug Calculate
The drug calculation can apply the following formulas:
Concentrate = Amount/volume
Inf rate
= Dose / Concentrate
Durate
= Amount / Dose
Dose
= Inf rate × Concentrate
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Chapter 11 Drug Calculation
11.2 Operating procedures
In the Drug Calculate window, first the operator should choose the name of the drug that is to be
computed, then confirm the animal’s weight, and input other values that’s already known.
Rotate the knob, move the cursor to each calculated item in the formula separately. Press down
and rotate the knob, select the calculated values. After the selection, value of the calculated item
will be displayed in the corresponding place.
Drug name selection: move the cursor to the “drug name”, rotate the knob, may choose among
the 21 kinds of medicines, AMINOPHYLLIN, DOBUTAMINE, DOPAMINE, EPINEPHRINE,
HEPARIN,
ISUPREL,
INOCOR,
INSULIN,
INSUPREL,
LIDOCAINE,
NIPRIDE,
NITROGLYCERIN, NOREPINEPHRINE, PITOCIN, PROCAINAMIDE, VASOPRESIN, DRUG
A, DRUG B, DRUG C, DRUG D, DRUG E. Only one type of medicine can be computed each
time.
11.3 Titration table
Select the “Titration Table” in the “Drug Calculate” menu to turn into the interface of titration
table.
The following chart shows the interface of the titration table:
Chart 13-2 titration table
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Chapter 11 Drug Calculation
1) Move the cursor to the “DoseType” option, press down the knob to choose dosage unit.
2) Move the cursor to the “Item” option, then press down the knob to choose “Dose”, “Inf Rate”.
The selection of “Dose” will calculate the infusion rate taking the dose as the basis of calculation,
otherwise the dose taking infusion rate as the basis of calculation.
3) Move the cursor to the “step” option, press down the knob to choose length of step. The
optional scope is 1~10.
4) With the buttons “ ” and “ ”, the operator may move the titration table a step backward or
forward. With the buttons “ ” and “
”, the operator may move the table a page forward or
backward. By selecting the button “ ”, the operator may display the minimum titration table data,
and “
” the maximum.
5) The recorder will output current titration table if “Record” button is pressed.
6) Move the cursor to the “Return” button, press down the knob to get back to the “Drug
Calculate” menu.
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Chapter 12 Maintenance and Cleaning
Chapter 12 Maintenance and Cleaning
12.1 System Check
Before using the monitor, you shall check:
■ Check if there is any mechanical damage;
■ Check if all the outer cables, inserted modules and accessories are in good condition;
■ Check if all the monitoring functions of the monitor can work normally so as to make sure that
the monitor is in good condition.
If you find any damage on the monitor, stop using the monitor on animal, and contact the
biomedical engineer of the hospital or Biocare Customer Service Department immediately.
The overall check of the monitor, including the functional safety check, must be performed by
qualified personnel once every 6 to 12 month or each time after fix up.
All checks that need to open the monitor enclosure must be performed by qualified service
personnel. Safety and maintenance check may also be conducted by persons from Biocare. You can
obtain the material about the customer service contract from the local Biocare office.
Warning
If the hospital or agency that is responding to using the monitor does not follow a satisfactory
maintenance schedule, the monitor may become invalid, and the human health may be
endangered.
12.2 General Cleaning
Warning
Turn off the power and disconnect the line power before cleaning the monitor or the
sensor/probe.
The Multi-Parameter animal Monitor must be kept dust-free.
It is recommended that you should clean the outside surface of the monitor enclosure and the
display screen regularly. Only use non-caustic detergents such as soap and water to clean the
monitor enclosure.
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Chapter 12 Maintenance and Cleaning
Caution
Pay special attention to avoid damaging this monitor:
1. Avoid using ammonia-based or acetone-based cleaners such as acetone.
2. Most cleaning agents must be diluted before use. Dilute the cleaning agent as per the
manufacturer's direction.
3. Do not use the grinding material, such as steel wool etc.
4. Do not let the cleaning agent enter the monitor. Do not immerse any part of the system
into liquid.
5. Do not leave the cleaning agents at any part of the equipment.
Cleaning Agents
Except the solutions specified in the above Caution, you can use any of the solutions listed below as
the cleaning agent.
Diluted Ammonia Water
Diluted Sodium Hyoichlo (Bleaching agent).
Note
The diluted sodium hyoichlo from 500ppm (1:100 diluted bleaching agent) to 5000ppm (1:10
bleaching agents) is very effective. The concentration of the diluted sodium hyocihlo depends on
how many organisms (blood, mucus) are left on the surface of the enclosure.
Diluted Formaldehyde 35% -- 37%
Hydrogen Peroxide 3%
Alcohol
Isopropanol
Note
You can use hospital-grade ethanol to clean the monitor and its sensor/probe and leave it to dry
naturally or use clean cloth to dry it.
Note
Biocare has no responsibility for the effectiveness of controlling infectious disease using these
chemical agents. Please contact infectious disease experts in your hospital for details.
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Chapter 12 Maintenance and Cleaning
Sterilization
To avoid extended damage to the equipment, sterilization is only recommended when stipulated as
necessary in the Hospital Maintenance Schedule. Sterilization facilities must be cleaned first.
Recommended sterilization materials: Ethylate, and Acetaldehyde.
Appropriate sterilization materials for ECG lead and blood pressure cuff are introduced Chapter
ECG/RESP Monitoring and Chapter NIBP Monitoring respectively.
Caution
„
Follow the manufacturer’s instruction to dilute the solution, or adopt the lowest
possible concentration.
„
Do not let liquid enter the monitor.
„
Do not immerse any part of the monitor into liquid.
„
Do not pour liquid onto the monitor during sterilization.
„
Use a moistened cloth to wipe off any agent remained on the monitor.
Disinfection
To avoid extended damage to the equipment, disinfection is only recommended when stipulated as
necessary in the Hospital Maintenance Schedule. Disinfection facilities should be cleaned first.
Appropriate disinfection materials for ECG lead, SpO2 sensor, blood pressure cuff and TEMP probe
are introduced in relevant chapters.
Caution
Do not use EtO gas or formaldehyde to disinfect the monitor.
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Appendix A Product Specifications
Appendix A Product Specifications
Warning
The animal monitor may not meet its performance specification if stored or used outside
the manufacturer’s specified temperature and humidity range.
12.3 Classification
Item
Specification
SFDA classification
Class II
Anti-electroshock degree
Class I equipment with internal power supply
Anti-electroshock degree
TEMP/SpO2/NIBP：
BF
ECG/RESP
CF
Explosion proof level
Ordinary equipment，without explosion proof
Harmful liquid proof degree
Ordinary equipment，without liquid proof
Working system
Continuous running equipment
12.4 Power Supply
100~240 VAC, 50/60 Hz, Pmax=90VA Fuse T1.5A
12.5 Battery
2.6 Ah 12V rechargeable battery
Operating time after full charge is more than 1 hours
Operating time after the first alarm of low battery will be about 5 minutes
Maximum charging time is less than 6 hours.
12.6 Signal Interface
Network interface
standard RJ45 Socket
12.7 Storage
Trend
720 hours
NIBP review
1000
Wave review
2 hours
Alarm review
200 alarm events
NIBP events
All storage data are non volatile.
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Appendix A Product Specifications
12.8 Environment
Temperature
Working
0 ~ 40 °C
Storage
-20 ~ 50°C
Working
15% - 90 %
Storage
15% - 90 % (no coagulation)
Humidity
12.9 ECG
12.9.1 Lead mode
5 Leads: RA、LA、LL、RL、V; lead mode: I, II, III, AVR, AVL, AVF, V
12.9.2 Gain
×2.5mm/mV, 5.0mm/mV, 10mm/mV, 20mm/mV
12.9.3 Heart rate
Measure range:
15 ~ 350 bpm
accuracy
± 1%
resolution
1 bpm
12.9.4 Sensitivity
> 200 μV P-P
12.9.5 Differential Input Impedance
> 5 M ohm
12.9.6 Bandwidth
Surgery
1 ~ 20 Hz
Monitor
0.5 ~ 40 Hz
Diagnostic
0.05 ~ 130 Hz
12.9.7 CMRR
Diagnostic Mode
>90 dB
Monitor Mode
>110 dB
Surgery Mode
>110 dB
12.9.8 Electrode offset potential
±300mV
12.9.9 PACE pulse detect
64
range
±4～±700mV
width
0.1～2ms
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Appendix A Product Specifications
rise time
10～100µs
12.9.10
PACE pulse rejection
range
±2～±700mV
width
0.1～2ms
rise time
10～100µs
12.9.11
Baseline Recovery
< 3 s After defibrillation.
12.9.12
Signal Range
± 8 mV p-p
12.9.13
Calibration Signal
± 5% accuracy
1 mV p-p,
12.10Respiration
12.10.1
Method
Impedance between RA-LL
12.10.2
Respiration Impedance Range
0.3~3Ω
12.10.3
Base Impedance Range
200Ω-4000Ω
12.10.4
Bandwidth
0.3 ~ 2.5 Hz
12.10.5
Gain
×0.25,×0.500,×1,×2,×4
12.10.6
Respiration Rate
Measurement Range
0 ~ 150 BrPM
Resolution
1 BrPM
Accuracy
0～6 BrPM: unspecified
7～150 BrPM: ±2 BrPM
12.10.7
Apnea Alarm
10 ~ 40 s
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65
Appendix A Product Specifications
12.11NIBP
12.11.1
Method
Oscillometry
12.11.2
Measure mode
Manual, Auto, STAT
12.11.3
Measure Interval in AUTO Mode
1,2,3,4,5,10,15,30,60,90,120,180,240,480 min
12.11.4
Measure Period in STAT Mode
5 min
12.11.5
Pulse Rate Range
40 ~ 240 bpm
12.11.6
Measure and Alarm Range
SYS
40 ~ 280 mmHg
DIA
10 ~ 220 mmHg
MEAN
20 ~ 240 mmHg
12.11.7
Static pressure accuracy
±3mmHg
12.11.8
Resolution
1mmHg
12.11.9
Accuracy
Maximum Mean error
±5mmHg
Maximum Standard deviation
8mmHg
12.11.10 Overpressure Protection
300 mmHg
12.12 SpO₂
12.12.1
Measurement Range
0 ~ 100 %
12.12.2
Resolution
1%
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Veterinary Monitor User’s Manual
Appendix A Product Specifications
12.12.3
Accuracy
70% ~ 100%
±2 %
<69%
unspecified
12.12.4
Pulse Rate
Measure and Alarm Range
20~250bpm
Resolution
1bpm
Accuracy
±3bpm
12.13Temperature
Channel
2
Measure and Alarm Range
0 ~ 50 °C
Resolution
0.1°C
Accuracy(no sensor)
± 0.1℃(0℃ – 50℃)
12.14Recorder(optional)
Paper width
48 mm
speed
25/50 mm/s
wave channel
2 channels
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67
Appendix B EMC – Guidance and manufacture’s declaration
Appendix B EMC - Guidance and manufacture’s declaration
Note
Using accessories, transducers and cables other than those specified may result in
increased electromagnetic emission or decreased electromagnetic immunity of the patient
monitoring equipment.
The device or its components should not be used adjacent to or stacked with other
equipment. If adjacent or stacked use is necessary, the device or its components should be
observed to verify normal operation in the configuration in which it will be used.
The device needs special precautions regarding EMC and needs to be installed and put
into service according to the EMC information provided below.
Other devices may affect this monitor even though they meet the requirements of
CISPR.
When the inputted signal is below the minimum amplitude provided in technical
specifications, erroneous measurements could result.
B.1 Guidance and manufacture’s declaration-electromagnetic emissions for all EQUIPMENT and
SYSTEMS
Guidance and Declaration - Electromagnetic Emissions
The device is suitable for use in the electromagnetic environment specified below. The customer
or the user of the device should assure that it is used in such an environment.
Emission tests
Compliance
Electromagnetic environment - guidance
Radio
Group 1
The device uses RF energy only for its internal
frequency
(RF) emissions CISPR
function. Therefore, its RF emissions are very low and
11
are not likely to cause any interference in nearby
electronic equipment.
RF
emissions
CISPR 11
Harmonic
Class A
Class A
device
establishments
is
other
suitable
than
for
domestic
use
and
in
all
those
indirectly connected to the public low-voltage power
supply network that supplies buildings used for
emissions IEC61000-3-2
Voltage
The
Compliance
domestic purposes.
fluctuations/flicker
emissions IEC61000-3-3
B.2 Guidance and manufacture’s declaration-electromagnetic immunity for all EQUIPMENT
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Veterinary Monitor User’s Manual
Appendix B EMC – Guidance and manufacture’s declaration
and SYSTEMS
Guidance and Declaration - Electromagnetic Immunity
The device is suitable for use in the electromagnetic environment specified below. The
customer or the user of the device should assure that it is used in such an environment.
Immunity
IEC60601
test
Compliance
test
level
level
Electrostatic
discharge (ESD)
IEC 61000-4-2
±6 kV contact
±8 kV air
±6 kV contact ±8
kV air
Electrical
fast
transient/burst
IEC 61000-4-4
±2 kV for power
supply lines ±1 kV
I/O for input/output
lines (>3 m)
±2 kV for power
supply lines ±1 kV
I/O for input/output
lines (>3 m)
Surge
61000-4-5
IEC
±1
kV
differential mode ±2
kV common mode
±1
kV
differential mode ±2
kV common mode
Voltage
dips,
short
interruptions and
voltage variations
on power supply
input lines IEC
61000-4-11
<5 % UT (>95 %
dip in UT) for 0.5
cycle
<5 % UT (>95 %
dip in UT) for 0.5
cycle
40 % UT (60 %
dip in UT) for 5 cycles
40 % UT (60 %
dip in UT) for 5 cycles
70 % UT (30 %
dip in UT) for 25
cycles
70 % UT (30 %
dip in UT) for 25
cycles
<5 % UT (>95 %
dip in UT) for 5 s
<5 % UT (>95 %
dip in UT) for 5 s
Power
frequency (50/60
HZ)
magnetic
field
IEC
61000-4-8
3 A/m
3 A/m
Electromagnetic
environment - guidance
Floors
should
be
wood, concrete or ceramic
tile. If floors are covered
with synthetic material, the
relative humidity should be
at least 30%.
Mains power quality
should be that of a typical
commercial or hospital
environment.
Mains power quality
should be that of a typical
commercial or hospital
environment. If the user of
our
product
requires
continued operation during
power mains interruptions,
it is recommended that our
product be powered from
an uninterruptible power
supply or a battery.
Power
frequency
magnetic fields should be at
levels characteristic of a
typical location in a typical
commercial or hospital
environment.
Note: UT is the AC mains voltage prior to application of the test level.
B.3 Guidance and manufacture’s declaration-electromagnetic immunity for EQUIPMENT and
SYSTEMS those are not LIFE-SUPPORTING.
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69
Appendix B EMC – Guidance and manufacture’s declaration
Guidance and Declaration - Electromagnetic Immunity
The device is suitable for use in the electromagnetic environment specified below. The
customer or the user of the device should assure that it is used in such an environment.
Immunity test
IEC 60601 Test level
Conduced
IEC61000-4-6
RF
Radiated
IEC61000-4-3
RF
3 Vrms 150k to 80M Hz
3V/m 80M to 2.5G Hz
Compliance level
3 Vrms
1Vrms)
(BIS,
ICG:
3V/m (Resp: 1V/m)
Electromagnetic environment - guidance
Portable and mobile RF communications equipment should be used no closer to any part of
the device, including cables, than the recommended separation distance calculated from the
equation applicable to the frequency of the transmitter. Recommended Separation Distance: Pd1.2
(BIS, ICG: Pd3.5 ) Pd1.2 (Resp: Pd3.5 ) 80 to 800 MHz Pd2.3 800M to 2.5GHz where P is the
maximum output power rating of the transmitter in watts (W) according to the transmitter
manufacturer and d is the recommended separation distance in meters (m). Field strengths from
fixed RF transmitters, as determined by an electromagnetic site survey, a should be less than the
compliance level in each frequency range b Interference may occur in the vicinity of equipment
marked with the following symbol: .
Note 1: From 80 MHz to 800 MHz, the higher frequency range applies. Note 2: These
guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption
and reflection from structures, objects and people.
a Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless)
telephones and land mobile radios, amateur radio, AM and FM radio broadcast and TV broadcast
cannot be predicted theoretically with accuracy. To assess the electromagnetic environment due to
fixed RF transmitters, an electromagnetic site survey should be considered. If the measured field
strength in the location in which the device is used exceeds the applicable RF compliance level
above, the device should be observed to verify normal operation. If abnormal performance is
observed, additional measures may be necessary, such as reorienting or relocating the device. b
Over the frequency ranges 150kHz to 80MHz, field strengths should be less than 3V/m. For BIS
and ICG monitoring, the field strength should be less than 1V/m
B.4 Recommended separation distance between portable and mobile RF communications
equipment and the EQUIPMENT or SYSTEM for EQUIPMENT or SYSTEM that are not
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Veterinary Monitor User’s Manual
Appendix B EMC – Guidance and manufacture’s declaration
LIFE-SUPPORTING
Recommended Separation Distances between Portable and Mobile RF
Communications Equipment and The device
The device is suitable for use in an electromagnetic environment in which radiated RF disturbance
are controlled. The customer or the user of the device can help prevent electromagnetic interference by
maintaining a minimum distance between portable and mobile RF communications equipment (transmitters) and
the device as recommended below, according to the maximum output power of the communication
equipment.
Recommended Separation Distances between Portable and Mobile RF
Communications Equipment and The device
Rated Maximum Output
150k to 80MHz
80M to 800MHz
power of Transmitter
800M to 2.5GHz
Watts (W)
0.01
0.35
0.35
0.23
0.1
1.11
1.11
0.74
1
3.5
3.5
2.34
10
11.07
11.07
7.38
100
35
35
23.34
The device is suitable for use in an electromagnetic environment in which radiated RF disturbance
are controlled. The customer or the user of the device can help prevent electromagnetic interference by
maintaining a minimum distance between portable and mobile RF communications equipment (transmitters) and
the device as recommended below, according to the maximum output power of the communication
equipment.
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